Individual
PHILIP DUNBAR NICOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 ONEIDA VALLEY RD, SUITE 400, BUTLER, PA 16001-2239
(866) 620-6761
(724) 282-3043
Mailing address
127 ONEIDA VALLEY RD, SUITE 400, BUTLER, PA 16001-2239
(866) 620-6761
(724) 282-3043
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD049708L
PA
207UN0901X
Nuclear Cardiology Physician
MD049708L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014235940013
—
PA
05
—
2589140
—
OH
Enumeration date
08/09/2005
Last updated
08/13/2020
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